Development of a Supporting System for Caregivers of Bedridden Patients to Prevent Depression in Muang Chachoengsao Municipality
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Abstract
BACKGROUND: The caregivers of bedridden patients often encounter stress and other problems. They have a particularly high risk for developing depression. Previous studies have revealed that many factors from both caregivers and health providers contribute to depression. Further, there are many methods to prevent such conditions, such as exercise and counselling. However, information concerning a supporting system for the caregivers of bedridden patients to prevent depression remains largely unavailable.
OBJECTIVES: The main purposes of this study were to develop a supporting system for the caregivers of bedridden patients to prevent depression, and to assess its effectiveness.
METHODS: This action research comprised 3 phases. In the first phase, the current situation was studied using questionnaires and a review of related knowledge. The second phase involved the development of a supporting system with a multidisciplinary team via conference using data from the first phase. The third phase applied and evaluated the supporting system with 45 caregivers of bedridden patients. Data were analyzed by frequency, percentage, mean and standard deviation.
RESULTS: For the first phase, there was no well-developed supporting system or stress evaluation using standard tools before developing the supporting system. The caregivers had stress related to income, expenses, transportation, recreation activities, unemployment, lack of assistance, time consumption using hospital services, and home environment. Service delivery was passive and lacked enough vehicles for home visits. The second phase developed the supporting system using 2Q and 9Q questionnaires for the screening of depression, provided counseling services, developed stress management manual, set up a fast track system in hospital for caregivers, provided transportation, and improved the medical equipment center. In the third phase, the caregivers were satisfied with the developed system, and depression scores were improved.
CONCLUSIONS: The research successfully developed a supporting system for the caregivers of bedridden patients to prevent depression in Muang Chachoengsao municipality. The system was suitable in terms of content, practicality and usefulness.
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